Constraint Induced Movement Therapy To Improve Functional Outcome Of Upper Exrremity Hemiplegia In A Stroke Patient
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Constraint Induced Movement Therapy To Improve Functional Outcome Of Upper Exrremity Hemiplegia In A Stroke Patient
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Author : Charity Coller
language : en
Publisher:
Release Date : 2002
Constraint Induced Movement Therapy To Improve Functional Outcome Of Upper Exrremity Hemiplegia In A Stroke Patient written by Charity Coller and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2002 with Cardiovascular disease categories.
Constraint Induced Movement Therapy
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Author : G. Uswatte
language : en
Publisher: Ios PressInc
Release Date : 2006
Constraint Induced Movement Therapy written by G. Uswatte and has been published by Ios PressInc this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006 with Science categories.
Constraint-Induced Movement therapy (CI therapy) is a behavioral approach to neurorehabilitation based on a program of neuroscience experiments conducted with monkeys. Evidence has accumulated to support the efficacy of CI therapy for rehabilitating hemiparetic arm use in individuals with chronic stroke. This book addresses the related topics.
Modified Constraint Induced Movement Therapy To Improve Upper Extremity Function Post Stroke In Canadian Neurological Rehabilitation
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Author : Alana Bethany Fleet
language : en
Publisher:
Release Date : 2014
Modified Constraint Induced Movement Therapy To Improve Upper Extremity Function Post Stroke In Canadian Neurological Rehabilitation written by Alana Bethany Fleet and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014 with categories.
Clinical Pathways In Stroke Rehabilitation
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Author : Thomas Platz
language : en
Publisher: Springer Nature
Release Date : 2021-01-14
Clinical Pathways In Stroke Rehabilitation written by Thomas Platz and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-01-14 with Medical categories.
This open access book focuses on practical clinical problems that are frequently encountered in stroke rehabilitation. Consequences of diseases, e.g. impairments and activity limitations, are addressed in rehabilitation with the overall goal to reduce disability and promote participation. Based on the available best external evidence, clinical pathways are described for stroke rehabilitation bridging the gap between clinical evidence and clinical decision-making. The clinical pathways answer the questions which rehabilitation treatment options are beneficial to overcome specific impairment constellations and activity limitations and are well acceptable to stroke survivors, as well as when and in which settings to provide rehabilitation over the course of recovery post stroke. Each chapter starts with a description of the clinical problem encountered. This is followed by a systematic, but concise review of the evidence (RCTs, systematic reviews and meta-analyses) that is relevant for clinical decision-making, and comments on assessment, therapy (training, technology, medication), and the use of technical aids as appropriate. Based on these summaries, clinical algorithms / pathways are provided and the main clinical-decision situations are portrayed. The book is invaluable for all neurorehabilitation team members, clinicians, nurses, and therapists in neurology, physical medicine and rehabilitation, and related fields. It is a World Federation for NeuroRehabilitation (WFNR) educational initiative, bridging the gap between the rapidly expanding clinical research in stroke rehabilitation and clinical practice across societies and continents. It can be used for both clinical decision-making for individuals and as well as clinical background knowledge for stroke rehabilitation service development initiatives.
Brain Repair After Stroke
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Author : Steven C. Cramer
language : en
Publisher: Cambridge University Press
Release Date : 2010-10-28
Brain Repair After Stroke written by Steven C. Cramer and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-10-28 with Medical categories.
Increasing evidence identifies the possibility of restoring function to the damaged brain via exogenous therapies. One major target for these advances is stroke, where most patients can be left with significant disability. Treatments have the potential to improve the victim's quality of life significantly and reduce the time and expense of rehabilitation. Brain Repair After Stroke reviews the biology of spontaneous brain repair after stroke in animal models and in humans. Detailed chapters cover the many forms of therapy being explored to promote brain repair and consider clinical trial issues in this context. This book provides a summary of the neurobiology of innate and treatment-induced repair mechanisms after hypoxia and reviews the state of the art for human therapeutics in relation to promoting behavioral recovery after stroke. Essential reading for stroke physicians, neurologists, rehabilitation physicians and neuropsychologists.
The Effectiveness Of Constraint Induced Therapy On Upper Extremity Function Post Stroke
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Author : Lauren B. Kramer
language : en
Publisher:
Release Date : 2006
The Effectiveness Of Constraint Induced Therapy On Upper Extremity Function Post Stroke written by Lauren B. Kramer and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006 with Cerebrovascular disease categories.
Abstract: BACKGROUND: Stroke causes a loss of functioning on one side of the body. It can present as weakness of that side, hemiparesis, or as paralysis of one side, hemiplegia. Studies have found that in order to regain upper extremity functioning after stroke, task-oriented therapy is most effective. Constraint-induced therapy (CIT) is a technique that immobilizes the unaffected side, using a sling or mitt, therefore forcing the affected side to perform required tasks. This review looks at the effectiveness of CIT for retraining upper extremity function post-stroke. OBJECTIVES: The objectives of this review are to assess the effectiveness of CIT on patients post-stroke, to determine if CIT has lasting effects, and to understand which protocols for this type of therapy are most effective. SELECTION CRITERIA: All randomized controlled trials and case studies, including pilot studies, within the past 6 years were selected. Participants were required to be no more than 1 year post-stroke, as well as undergoing traditional or modified CIT (excluding autoCITE). Multiple outcome measures were included. SEARCH STRATEGY: We searched MEDLINE, CINAHL, ACADEMIC SEARCH PREMIER, PUBMED, ALLIED HEALTH WATCH, BIOMEDICAL COLLECTION: COMPREHENSIVE, NURSING and ALLIED HEALTH COLLECTION: COMPREHENSIVE, OVID, HOOKED ON EVIDENCE from www.apta.org, and the URSUS catalog for relevant articles. DATA COLLECTION AND ANALYSIS: Each reviewer read the abstracts of the articles retrieved during the search. Only those abstracts that fit the criteria were chosen, and their full text articles were retrieved. Data was extracted from each study by one researcher. RESULTS: Each study found that CIT was an effective technique for improving arm and hand function following stroke. There was a lack of consistency in study design, outcome measures, and functional assessments used between the gathered research articles, which did not permit us to perform a quantitative evaluation. DISCUSSION: Preliminary studies have shown CIT to be an effective intervention to improve the use and function of the affected upper extremity post-stroke. However, there is a lack of available research for patients less than I year post-stroke. There is also a lack of randomized controlled trials, studies that examine chronic stroke versus patients less than a year post-stroke, and studies that look at when in the rehabilitation process CIT is most effective. The studies did not differentiate if it was CIT that caused the increase in function, or if it was the intensive therapy programs. They also did not allow the comparison between CIT and any other specific therapy. Further examination needs to be completed to develop our knowledge base about the effectiveness of CIT.
Cognitive Neurorehabilitation
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Author : Donald T. Stuss
language : en
Publisher: Cambridge University Press
Release Date : 2010-05-06
Cognitive Neurorehabilitation written by Donald T. Stuss and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-05-06 with Medical categories.
This updated new edition summarizes the latest developments in cognitive neuroscience related to rehabilitation, reviews the principles of successful interventions and synthesizes new findings about the rehabilitation of cognitive changes in a variety of populations. With greatly expanded sections on treatment and the role of imaging, it provides a comprehensive reference for those interested in the science, as well as including the most up-to-date information for the practicing clinician. It provides clear and practical guidance on cognitive rehabilitation's effectiveness, and the latest research and clinical directions.
Effectiveness Of Five Days Of Constraint Induced Movement Therapy On Hemiparetic Upper Extremity Function In Individuals Post Stroke
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Author : Jackie Cortese
language : en
Publisher:
Release Date : 2002
Effectiveness Of Five Days Of Constraint Induced Movement Therapy On Hemiparetic Upper Extremity Function In Individuals Post Stroke written by Jackie Cortese and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2002 with categories.
Background and Purpose. Recent research has identified Constraint-Induced (Cl) Movement Therapy as a new approach to the rehabilitation of movement of the more affected upper extremity in patients post-stroke. Cl therapy has been shown to increase the quality of movement, speed of movement, and amount of use of the more-affected upper extremity for this patient population. Based on research in neuroscience and behavioral psychology, Cl therapy involves constraining movements of the less-affected extremity with a protective safety mitt or sling for 90% of waking hours for 10 to 14 days, while intensively training the more-affected arm and hand for six hours each day. Although current CI therapy research has documented significant, functional improvements in the hemiparetic upper extremity in patients following a stroke, applying this lengthy, six -hour daily treatment for two weeks may be unrealistic in today's healthcare system. Therefore, the purpose of this study was to examine the effects of CI therapy performed over a shortened period: five days. Subjects. Three subjects were selected via convenience sampling. Patients A and B presented with adequate motor capabilities of the more-affected arm and hand to participate fully in CI therapy. Therefore, both patients wore a protective safety mitt for 90% of waking hours and underwent six hours of intensive, task-practice training on each of the five treatment days. Patient C presented with severe limitations in motor function. As a result, Patient C would have been unable to carry out typical activities of daily living with the less-affected extremity constrained. Therefore, Patient C did not wear the protective safety mitt during the five-day treatment. Patient C's massed-practice treatment also varied from the typical task-practice protocol. Instead of task-oriented activities, researchers performed neurodevelopment techniques and utilized bimanual activities during Patient C's six-hour daily treatment sessions to facilitate improvements in motor function. Methods. The Motor Activity Log (MAL) and the Wolf Motor Function Test (WMFT) were used to analyze changes in the quality of movement, speed of movement, force production, and amount of use of the more-affected upper extremity for each patient. Range of motion measurements and manual muscle testing grades were also used to describe changes in motor abilities for Patient C. Data was analyzed using descriptive statistics. Results. Calculated results from the MAL and the WMFT for Patients A and B indicate that the more-affected upper extremity improved in all four categories of motor function from pre-treatment to post-treatment and from pre-treatment to follow-up (three months). All of Patient A's MAL and WMFT scores improved from post-treatment to follow-up except the quality of movement score on the MAL which regressed from post-treatment to follow-up. All of Patient B's WMFT scores improved from post-treatment to followup, but both MAL scores decreased, indicating a decrease in the self-reported amount of use and the quality of movement compared to post-treatment scores. Patient C's passive range of motion, active range of motion, and manual muscle testing grades all improved from pre-treatment to post-treatment and from post-treatment to follow-up testing. However, no significant functional improvements occurred following 30 hours of intense, massed-practice treatment for Patient C. Discussion and Conclusion. Five days of CI therapy can produce improvements in quality of movement, speed of movement, force production, and amount of use of the more-affected upper extremity for patients post-stroke with adequate motor capabilities. Moreover, patients presenting with more severe deficits following stroke may demonstrate improvements in motor function following participation in massed-practice therapy. Ultimately, researchers concluded that 10 days of therapy are not required for beneficial outcomes from CI therapy. Massed-practice of activities challenging the motor abilities of the patient appears to be essential for promoting improvements in motor function. Factors which may influence the benefits patients experience following CI therapy include patient personality, internal and external motivators, and understanding of the theories underlining massed-practice treatments. Rehabilitation specialists who consider these and other factors which contribute to each patient's unique presentation may successfully select a massed-practice treatment protocol appropriate for achieving functional return.
Can Constraint Induced Movement Therapy Improve The Impaired Upper Extremity Functioning Following Stroke For Adult Patients And Is It Superior To Other Rehabilitation Methods
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Author : Liming Zhou
language : en
Publisher:
Release Date : 2008
Can Constraint Induced Movement Therapy Improve The Impaired Upper Extremity Functioning Following Stroke For Adult Patients And Is It Superior To Other Rehabilitation Methods written by Liming Zhou and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008 with categories.
Constraint Induced Movement Therapy Of The Upper Extremity
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Author : Kimberly Anderson
language : en
Publisher:
Release Date : 2002
Constraint Induced Movement Therapy Of The Upper Extremity written by Kimberly Anderson and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2002 with Movement therapy for children categories.
The effects of a modified constraint-induced therapy (CIMT) protocol on hand function of the involved upper extremity were examined in two children with right hemiplegic cerebral palsy. The modified CIMT protocol consisted of each subject wearing a constraint for 6-8 hours a day for 28 consecutive days. During the four weeks of intervention, Subject One, a 6 year old male, wore an orthoplast resting hand splint and engaged in an average of 45 minutes of home program activities each day; whereas, Subject Two, a 5 year old female wore a bivalved cast and engaged in an average of 1.5 hours of home program activities daily. Each child engaged in one hour a week of occupational therapy services during these four weeks of intervention. Hand use, strength, and visual-motor integration of functional tasks were examined pre and post intervention. Standardized tests used were the Jebsen-Taylor Hand Function Test, the Martin Vigorimeter for grip strength, the Peabody Developmental Motor Scales-2 (visual-motor sub-test), and the Bruininks-Oseretsky Test of Motor Proficiency, Sub-test 8, Item 5. The results indicated an increase in coordination and use of the involved upper extremities in both subjects. An increase in upper extremity grip strength was noted in the involved upper extremity for Subject One. Subject Two demonstrated a decrease in grip strength, bilaterally. The results support the effectiveness of using a modified CIMT program to improve and increase function in the involved upper extremity of children with hemiplegic cerebral palsy. Further research is needed to document the effectiveness of CIMT as an appropriate treatment method for children with hemiplegic conditions.